Individual
MRS. SHELLEY MARIE BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C,MPAS
Contact information
Practice address
450B WASHINGTON JACKSON RD STE 108, EATON, OH 45320-7601
(937) 456-8330
(937) 456-8335
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 456-8330
(937) 456-8335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001597RX
OH
363AM0700X
Medical Physician Assistant
50.001597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046561
NATIONAL CERTIFICATION NU
—
01
—
41-3208
OHIO SUPERVISORY AGREEMEN
OH
01
—
50.001597
P.A. REGISTRATION NUMBER
OH
Enumeration date
01/03/2007
Last updated
03/19/2026
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